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41.
42.
Terra RM Minamoto H Junqueira JJ Falzoni R Pêgo-Fernandes PM Jatene FB 《The Annals of thoracic surgery》2008,86(1):308-310
Primary tracheal malignant melanomas are uncommon neoplasms: only five cases have been reported. Different therapeutic approaches are described, with a short life expectancy observed. We report a case of a young woman with a primary tracheal malignant melanoma who underwent complete tracheal resection and is free of disease 4 years after surgical treatment. 相似文献
43.
YA Leshem L Pavlovsky FB Mimouni M David D Mimouni 《Journal of the European Academy of Dermatology and Venereology》2010,24(2):173-177
Background Although pemphigus is a rare autoimmune blistering disease, it attracts the attention of physicians of many disciplines. Objective This study aims to assess the number of articles on pemphigus that have been published over 15 years in dermatology vs. non‐dermatology medical journals, and to evaluate the quality of available evidence. Methods PubMed was searched for articles on pemphigus published between 1 January 1993 to 31 December 2007 using the search word pemphigus. Articles were characterized by publication type and journal type per year. Regression analysis was used to determine the effect of year of publication on number of publications of each type. Results The search yielded 2032 publications on pemphigus during the evaluation period. Sixty‐one per cent were published in dermatology journals. Overall, the number of publications increased linearly with time. Most of this increase was accounted for by publications in non‐dermatology journals. There was an increase in clinical trials over the course of the study period. The number of certain publications with lower quality of evidence, mainly case reports and letters to the editor, increased significantly in the last few years. There was no increase in publications with high quality of evidence. Conclusions The increase on data from non‐dermatology disciplines is a welcome contribution. Nevertheless, high‐quality evidence on pemphigus is still lacking. We trust that the current trend towards evidence‐based dermatology will impact future research on this severe disease. 相似文献
44.
Thiago Martins Lara Ludhmila Abrahao Hajjar Juliano Pinheiro de Almeida Julia Tizue Fukushima Carmem Silvia Valente Barbas Adriano Rogerio Baldacin Rodrigues Emilia Nozawa Maria Ignes Zanetti Feltrim Elisangela Almeida Vera Coimbra Eduardo Osawa Rafael de Moraes Ianotti Alcino Costa Leme Fabio Biscegli Jatene Jose Otavio Costa Auler-Jr. Filomena Regina Barbosa Gomes Galas 《Clinics (S?o Paulo, Brazil)》2013,68(1):33-38
45.
Nelson Wolosker Jose R. de Campos Paulo Kauffman Samantha Neves Guilherme Yazbek Fabio B. Jatene Pedro Puech-Leão 《Clinical autonomic research》2011,21(6):389-393
Purpose
To evaluate the effectiveness and patient satisfaction with the use of oxybutynin at low doses for treating palmar hyperhidrosis in a large series of patients. 相似文献46.
Van Nostrand D; Abreu SH; Callaghan JJ; Atkins FB; Stoops HC; Savory CG 《Radiology》1988,167(2):495-498
Since indium-111 white blood cell (In-111 WBC) scintigraphy is often used to evaluate for osteomyelitis in bone fractures, it is important to know if noninfected fractures have In-111 WBC uptake. Twenty-seven noninfected closed fracture sites in 19 patients were prospectively evaluated with technetium-99m methylene diphosphonate bone scintigraphy and In-111 WBC scintigraphy. In-111 WBC uptake was present in 41% of the 27 sites. In the 11 positive sites, the In-111 WBC uptake was 1+ (definite but minimal) in 55%, 2+ (moderate) in 36%, and 3+ (marked) in 9%. The visual intensity of the radioactive uptake on In-111 WBC scintigrams relative to that on bone scintigrams was less in 82%, equal in 9%, and greater in 9%. The visual size of the area of uptake on In-111 WBC scintigrams and bone scintigrams was smaller in 36%, equal in 55%, and greater in 9%. Factors that may help distinction of In-111 WBC uptake due to fracture alone from infection associated with fracture are discussed. 相似文献
47.
Marcelo Biscegli Jatene Estela Azeka Edmar Atik Arlindo Riso Carla Tanamati Miguel Barbero Marcial Sergio Almeida de Oliveira 《The Journal of heart and lung transplantation》2005,24(5):638-641
A 28-month-old boy, weighing 11 kg, with severe dilated cardiomyopathy, was transplanted on December 1995. Hypertension and supraventricular tachycardia were detected in the immediate post-operative period, with favorable outcome. After 5 months of clinically asymptomatic follow-up, a dilation in the ascending aorta was observed on routine echocardiogram. Nuclear magnetic resonance imaging (NMRI) confirmed an ascending aortic aneurysm, with a diameter of 38 mm. An operation was performed, a bovine pericardium patch was sutured with reconstruction of the aortic wall, excluding the aneurysm. Good recovery was obtained and the child was discharged on Day 7 postoperatively. A post-operative echocardiogram showed absence of the aortic aneurysm and good surgical results. Another NMRI was done 5 months later, showing an intact ascending aorta. After 64 months, the patients clinical condition was confirmed as normal by echocardiogram. Surgical treatment was successful and the positive results have been maintained. 相似文献
48.
The body mass index and level of resection 总被引:5,自引:1,他引:4
José Ribas Milanez de Campos MD Nelson Wolosker MD PhD Flavio Roberto Takeda MD Paulo Kauffman MD Sergio Kuzniec MD Fábio Biscegli Jatene MD PhD Sérgio Almeida de Oliveira MD PhD 《Clinical autonomic research》2005,15(2):116-120
OBJECTIVE: Compensatory sweating (CS) is the most common adverse event and the main cause of dissatisfaction among patients undergoing a VATS sympathectomy for the treatment of primary hyperhidrosis. It has been described that obese individuals experience more sweating than thinner ones. The aim of this study is to identify the Body Mass Index (BMI) and the level of resection as predictive factors for CS and its relation to levels of patient satisfaction following the procedure. METHODS: From October 1998 to June 2003, 102 patients undergoing VATS sympathectomies (51 for palmar hyperhidrosis, PH, and 51 for axillary hyperhidrosis, AH) were prospectively surveyed. They were divided into three groups according to their BMI: Group I was composed of 19 patients with BMI<20 (9 patients with PH and 10 with AH); Group II was composed of 52 patients with 20 < or =BMI<25 (25 with PH and 27 with AH); and Group III was composed of 31 patients with BMI > or =25 (17 with PH and 14 with AH). Each procedure was simultaneously and bilaterally performed under general anesthesia using two 5.5 mm trocars and a 30 degrees optic system. RESULTS: Patients treated for PH (resection of T2-T3) had more severe CS than those with AH (resection of T3-T4) (p=0.007) and the greater the BMI, the greater the severity of the CS (p<0.001). No statistically significant difference was found between the BMI bands in relation to the degree of satisfaction (p=0.644), nor when we compared the degree of satisfaction to the degree of CS (p=0.316). CONCLUSIONS: The greater the BMI, the more severe the CS, but this did not correlate with the patients' level of satisfaction. Avoiding the resection of T2 sympathetic ganglia is also important in reducing the intensity of CS. 相似文献
49.
From July, 1981 to December, 1988, 2431 percutaneous transluminal coronary angioplasties were performed on 1901 patients at
the Heart Institute of Sào Paulo University Medical School. Seventy-six patients (4.0 per cent) underwent emergency coronary
artery bypass grafting for failed angioplasty. The incidence of failed angioplasty was significantly higher in the impending
myocardial infarction group (11.5 per cent) than in the angina group (4.8 per cent) and the acute myocardial infarction group
(1.3 per cent). The mean age of the seventy-six patients was 54.4 years, and 54 patients were male. The operative mortality
was 15.8 per cent, being 9 males and 3 females. Patients who had had a left main trunk dissection during angioplasty and those
who were hemodynamically unstable following the failed angioplasty or who had had a cardiac arrest necessistating a cardiac
massage during transportation to the operating room, had a higher mortality than patients in whom the failure occurred in
other sites and those who were hemodynamically stable. Perioperative myocardial infarction was documented in 50 per cent of
the patients. Patients who had had a cardiac arrest during the procedure had a higher rate of perioperative myocardial infarction
than those whose preoperative hemodynamic condition was stable. 相似文献
50.
TAVR in patients with severe aortic stenosis and less than high risk: Future or present reality? 下载免费PDF全文
Tannas Jatene MD Deepak L. Bhatt MD MPH FSCAI 《Catheterization and cardiovascular interventions》2015,86(4):745-746
- TAVR use is growing in patients with less than high surgical risk.
- Several registries, including this one, show excellent safety with TAVR in intermediate‐risk patients compared with similar patients undergoing SAVR.
- Long‐term data from ongoing randomized trials will answer definitively if we should routinely perform TAVR in intermediate‐risk patients.